Existential issues - need values clarification, a sense of meaning and purpose, an identity based on meaningful and sustainable agency in one’s own life
Anxiety based on avoidance — needs approach to what is being avoided, and to build tolerance for feeling, and competency in processing challenging material
Anxiety based on uncertainty — needs to develop a capacity to tolerate uncertainty, to form constructs of meaning around uncertainty
I appreciate the three ways of practicing eclectic therapy that you lay out. I find my choice of therapeutic modality to be not diagnosis dependent, but rather mainly dependent on the particular underlying issue that we are addressing in a given therapy session. (I tend to use IFS, DBT, polyvagal theory, existential therapy)
I just came across your Substack today and this was the note I wrote myself yesterday: Pragmatic & Integrative Eclecticism in Psychotherapy
Using the right emotional and psychotherapeutic skills and techniques at the right time for the client’s immediate and long term needs.
Traumatic NS dysregulation - needs NS regulation techninques
Existential issues - need values clarification, a sense of meaning and purpose, an identity based on meaningful and sustainable agency in one’s own life
Anxiety based on avoidance — needs approach to what is being avoided, and to build tolerance for feeling, and competency in processing challenging material
Anxiety based on uncertainty — needs to develop a capacity to tolerate uncertainty, to form constructs of meaning around uncertainty
I appreciate the three ways of practicing eclectic therapy that you lay out. I find my choice of therapeutic modality to be not diagnosis dependent, but rather mainly dependent on the particular underlying issue that we are addressing in a given therapy session. (I tend to use IFS, DBT, polyvagal theory, existential therapy)
Love this! Thank you for sharing, Trysa. I knew there were more paths I hadn't yet articulated!
You said, "I’m extensively trained in DBT, considered a gold standard treatment for BPD."
This is a lie. DBT is not a "gold standard." The literature states that is is no better than literally *anything else.*
DBT is abuse. If you practice DBT, then you are an abuser.